Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word...
Transcript of Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word...
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Why Are We ‘Here?’ The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 2: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/2.jpg)
Why Are ‘We’ Here? The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 3: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/3.jpg)
‘Why’ Are We Here? The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 4: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/4.jpg)
Why Are We ‘Here?’ The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 5: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/5.jpg)
Our Mission
To Transform
Cardiovascular Care
and Improve Heart
Health
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Science and Quality
Professional Development
Community
Continuous Quality
Improvement
Patient-Centered
Care
Practice Excellence
Community
Transforming Cardiovascular Care to Improve Heart Health
Transforming Cardiovascular Care to Improve Heart Health
Health Policy
Professionalism
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The American College of Cardiology
Strategic Plan
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Current ACC Section Leadership
Councils and Sections
• Academic Cardiology
• Adult Congenital and
Pediatric Cardiology
• Cardio-Oncology
• Cardiovascular Care Team
• Cardiovascular Imaging
• Cardiovascular Management
• Cardiovascular Training
• Early Career Professionals
• Electrophysiology
• Federal Cardiology
• Fellows in Training
• Geriatric Cardiology
• Heart Failure and
Transplant
• Interventional
• Peripheral Vascular Disease
• Prevention
• Sports and Exercise
Cardiology
• Surgeons’ Scientific
• Women in Cardiology
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Why Are ‘We’ Here? The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 10: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/10.jpg)
Financial Risk Of Care For Provider And Payer, By Payment Method.
Austin B. Frakt, and Rick Mayes Health Aff 2012;31:1951-1958
Financial risk is shifting from payors to providers
10
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Payment is Transitioning From
Volume-Driven to Value-Driven
Value-
driven
Healthcare
Volume-
driven
Healthcare
Quality
Cost
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A National Transition to Value-Based Reimbursement
CMS Timeline Expects By 2018, 50% of Payments in Alternative Payment Models
2016
30%
85%
2018
50%
90%
2014
~20%
>80%
2011
0%
~70%
GoalsHistorical Performance
All Medicare FFS
Fee-for-Service (“FFS”) linked to quality
Payments linked to alternative payment models
Source: Centers for Medicare and Medicaid Innovation (“CMMI”) Center, Bundled Payment
Summit, June 2015
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John Denver singing Country Roads at the opening of
Mountaineer Field September 6, 1980.
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Team Based Care
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The Team Will See You Now
WSJ Feb 18, 2014
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Need for Team-Based Care
J Am Coll Cardiol 2011;57:2115–24
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Working to the top of your license
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ACC in 2000 (26,000 Members) ACC in 2016 (52,000+ Members)
Source (Right): Data compiled from 2015 Year End Official Member Count
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‘Why’ Are We Here? The Intersection
Between Cardiology and Oncology
Feb 17, 2017
Mary Norine Walsh, MD, FACC
Medical Director, HF and Cardiac Transplantation
St . Vincent Heart Center, Indianapolis, IN
President-Elect
American College of Cardiology
Advancing Cardiovascular Care of the
Oncology Patient
![Page 20: Advancing Cardiovascular Care of the Oncology Patient/media/Non-Clinical/Files-PDFs-Excel-MS-Word … · Between Ca˘iology and Oncology Feb 17, 2017 Mary Norine Walsh, MD, FACC Medical](https://reader034.fdocuments.net/reader034/viewer/2022052101/603b6778b5920550800c8b9b/html5/thumbnails/20.jpg)
Braunwald E. N Engl J Med 1997;337:1360-1369.
Crude Death Rates for Leading Causes of Death in the
United States from 1900 to 1950.
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Current Smoking: NHIS
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Maps of estimated hypertension, diabetes mellitus, and current smoking prevalence among whites and blacks, adjusted for age and sex.
Matthew Shane Loop et al. Circ Cardiovasc Qual Outcomes. 2017;10:e003350
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Number of Chronic Conditions in Medicare FFS
Beneficiaries 2010 by Age
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Palliative Chemotherapy Does Not Improve Quality of Life
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Patient Centered Care